A treatise on orthopedic surgery . in the day, and the weak musclesof the calf should be stimulated by massage. Cure may be hastened by the use of some simple form of re-tention splint to hold the foot in plantar flexion until the pos-terior group of muscles has recovered its power. Tenotomy orother operative treatment is not often required. In rare instances the tibia may be bent slightly backward, DEFORMITIES OF THE FOOT. 841 thus increasing the deformity. In such cases the distortion ofthe bone may he overcome by manipulation and by Talipes Valgus.—Congenital valgus (Fi
A treatise on orthopedic surgery . in the day, and the weak musclesof the calf should be stimulated by massage. Cure may be hastened by the use of some simple form of re-tention splint to hold the foot in plantar flexion until the pos-terior group of muscles has recovered its power. Tenotomy orother operative treatment is not often required. In rare instances the tibia may be bent slightly backward, DEFORMITIES OF THE FOOT. 841 thus increasing the deformity. In such cases the distortion ofthe bone may he overcome by manipulation and by Talipes Valgus.—Congenital valgus (Fig. 522) issomewhat more common than the preceding varieties (144 in2103). jSTot infrequently it is combined v^ith a slight degree ofcalcaneus or equinus. The resistance of the contracted tissuesis not great, and the deformity may be overcome, in most cases,by persistent manipulation. If the muscular power is suffi-ciently unbalanced to warrant it the foot should be fixed in theovercorrected position (varus) for a time. Fig. Congenital calcaneovalgiis. Congenital valgus is one form of what is known as weakankle, and it frequently passes unnoticed until the child beginsto walk. If at that time, in spite of massage, the muscles appearweak or if the foot inclines outward when weight is borne it iswell to make the sole of the shoe wedge-shaped, the thicker part(one-quarter of an inch) on the inner side. In more persistentcases a brace may be necessary, as described in the treatment ofthe acquired variety. (See Weak Foot.) Talipes Equinovalgns is less common (35 in 2103). Thismust be treated as the other varieties by complete overcorrectionof deformity, manual or otherwise, and by subsequent massageand support if necessary. 842 OETHOPEDIC SUSGEEY. Calcaneovalgus (87 in 2103), Calcaneovarus (10 in 2103),Equinocavus (1 in 2103), Valgocavus (1 in 2103). Cavus (5 in2103), are extremely rare, as indicated by the statistics. Iftreated early by persistent massage supplemented by ret
Size: 1677px × 1490px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
